Applewhite, Sarah

Applewhite, Sarah was paid $67K by Medicaid between Jan 2018 and Feb 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoAPPLEWHITE, SARAH
FRANKLIN, VA 23851

33aNPI1740451244assigned 03/12/2008

33bProvider typePediatrics Physician

28Total paid$67K

24GClaims1,312

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#286 of 817

Median peer was paid$29K

This provider vs. median2.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,018	$54K
2019	187	$9K
2020	61	$3K
2021	46	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50%	560	512	$34K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	19%	156	138	$13K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	119	114	$9K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.4%	63	62	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.3%	48	48	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.3%	119	112	$2K
99174		<1%	65	65	$340.80
90670		<1%	25	25	$253.00
81002		<1%	65	65	$196.53
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	14	$188.73
85018		<1%	60	58	$167.34
90688		0%	18	17	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.